Severe complications of circumcision: an analysis of 48 cases.
OBJECTIVE
Circumcision is still the most commonly performed surgery in Islamic and Jewish societies. We report the findings of 48 cases referred for serious complications after circumcision that needed secondary surgical interventions. The aim of this study is to emphasize the important problem of circumcision complications.


METHODS
The 48 cases (mean age 14 years, range 5 months-24 years) with complications of circumcision were reviewed retrospectively. Circumcisions were performed at various medical centers or during religious ceremonies in environments other than health facilities.


RESULTS
The most commonly observed complication was preputio-glandular fusion, seen in 25 cases (52%). The other complications were: meatal stenosis in 11 (23%), urethral fistula in five (10.4%), partial glandular amputation in four (8%) and opening distal urethra in three (6%). Adhesion freeing and revision were performed in all cases of preputio-glandular fusion, patients with meatal stenosis underwent meatotomy, urethral fistulae were repaired by simple closure, partial glans amputations were patched with buccal mucosa, and patients with complete open distal urethra were repaired by Mathieu (one patient) and tubularized incised plate urethroplasty techniques.


CONCLUSIONS
Circumcision may be associated with many serious complications. To prevent these complications, the operation should be performed by educated and experienced personnel.
Ceylan
Kadir
K
Department of Urology, Faculty of Medicine, Yüzüncü Yil University, 65200 Van, Turkey. drceylan26@yahoo.com
Burhan
Köseoğlu
K
Yilmaz
Yüksel
Y
Can
Saban
S
Kuş
Alpaslan
A
Mustafa
Güneş
G